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Anterior abdominal wall defects.

P M Lafferty1, A J Emmerson, P J Fleming

  • 1Department of Child Health, Bristol Maternity Hospital.

Archives of Disease in Childhood
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Infants with abdominal wall defects like gastroschisis and exomphalos show high survival rates. Gastroschisis survival reached 95%, while exomphalos survival was 81% in a six-year review.

Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Congenital anomalies

Background:

  • Abdominal wall defects, including gastroschisis and exomphalos, are significant congenital anomalies.
  • These conditions require specialized neonatal surgical care.

Purpose of the Study:

  • To review outcomes for infants with abdominal wall defects.
  • To assess survival rates and factors influencing outcomes for gastroschisis and exomphalos.

Main Methods:

  • Retrospective review of 48 infants with abdominal wall defects over six years.
  • Analysis of survival rates and associated factors such as prenatal diagnosis and mode of delivery.

Main Results:

  • Survival rates at one year were 95% for gastroschisis (21/22) and 81% for exomphalos (17/20).

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  • Most deaths were attributed to factors other than the abdominal defect itself.
  • Prenatal diagnosis and parental counseling were reviewed for their impact on outcomes.

    • Conclusions:

    • Neonatal surgical intervention for gastroschisis and exomphalos leads to high survival rates.
    • Factors beyond the defect itself significantly influence infant outcomes.